• J Anaesthesiol Clin Pharmacol · Apr 2013

    A surgeon's assessment of inadequate neuromuscular antagonism in a case of prolonged neuromuscular blockade.

    • James J Lamberg and Joseph F Answine.
    • Department of Anesthesiology, Pennsylvania State University Milton S Hershey Medical Center, Pennsylvania, USA.
    • J Anaesthesiol Clin Pharmacol. 2013 Apr 1;29(2):244-7.

    AbstractEvaluation of the degree of neuromuscular blockade by the surgeon using clinical criteria alone is unreliable. We report a case of prolonged neuromuscular blockade lasting 5.5 h, where an additional intra-operative dose of neuromuscular relaxant was given at the request of the surgical team. Possible causes of prolonged neuromuscular antagonism are discussed, as is the importance of neuromuscular assessment prior to the administration of additional neuromuscular blocking agents when receiving a surgeon request for additional neuromuscularblockade.

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